
    <h3><[h3]></h3>
    <p>I campi contrassegnati con <span class="red">*</span> sono obbligatori</p>
    <form id="contactform" name="contactform" action="<[phpscript]>" method="post" onsubmit="return controllo_reg()">
        <input type="hidden" name="page" value="1" />
        <input type="hidden" value="<[op]>" name="op"/>
        <input type="hidden" value="<[email_bck]>" name="email_bck"/>
        <fieldset>
        <ul>
                <[groupsel]>
              <li>
                <label for="nome">Nome <span class="red">*</span></label>
                <input id="nome" name="nome"  value="<[nome]>" />
              </li>
              <li>
                <label for="cognome">Cognome <span class="red">*</span></label>
                <input id="cognome" name="cognome"  value="<[cognome]>" />
              </li>
              <li>
                <label for="data_di_nascita">Data di nascita <span class="red">*</span> </label>
                <input type="text" name="data_di_nascita" id="data_di_nascita"  class="data" value="<[data_di_nascita]>" maxlength="10"/><span class="float_left">&nbsp;(gg/mm/aaaa)</span>
                
              </li>

              <li>
                <label for="sesso">Sesso </label>
                <input type="radio" name="sesso" id="sesso" value="maschio" <[maschio_check::control_checked library="htmlhelper"]> /><span class="float_left">M</span> <input type="radio" name="sesso" value="femmina" <[fem_check::control_checked library="htmlhelper"]> /><span class="float_left">F</span>
              </li>

              <li>
                   <label for="cod_fisc"> Codice fiscale <span class="red">*</span> </label>
                   <input type="text" name="cod_fisc" class ="cod_fis" id="cod_fisc" maxlength="16"  value="<[cod_fisc]>" />
              </li>

              <li>
                  <label for="telefono">Recapito telefonico</label>
                  <input type="text" name="rec_tel" class="telefono" id="telefono"  maxlength="10"  value="<[rec_tel]>" />
              </li>
              <li>
                  <label for="indirizzo">Indirizzo</label>
                  <input type="text" name="indirizzo" id="indirizzo"  value="<[indirizzo]>" />
              </li>
              <li>
                  <label for="citta">Citta'</label>
                  <input type="text" name="citta" id="citta"  value="<[citta]>" />
              </li>
              <li>
                  <label for="cap" id="caplb">CAP</label>
                  <input type="text" name="cap" class ="cap" id="cap" maxlength="5"  value="<[cap]>" />
              </li>
              <li>
                  <label for="provincia" id="provlb">Provincia</label>
                  <input type="text" name="provincia" class ="provincia" id="provincia" maxlength="2"  value="<[provincia]>" /> <br/>
              </li>
              <li>
                  <label for="email">Email <span class="red">*</span></label>
                  <input type="text" name="email" id="email"  value="<[email]>" />
              </li>
              <[adminadvice]>
              <li>
                  <label for="password">Password <span class="red">*</span></label>
                  <input type="password" name="password" id="password" />
              </li>
              <li>
                  <label for="password2">Ripeti password <span class="red">*</span></label>
                  <input type="password" name="password2" id="password2" />
              </li>

              <li >
                    <input type="submit" value="<[operation]>" name="op"/>
                    <!--<button value="<[operation]>" type="submit" id="<[operation]>" name="op" onclick="controllo_reg()"><[operation]></button>-->
                    <div class="clr"></div>
              </li>
        </ul>
        </fieldset>
      </form>
